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General NPI Number Information
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NPI Number | 1669563011
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGY SPECIALISTS OF SOUTHERN CONNECTICUT, LLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1450 CHAPEL ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-4405
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Country | US
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Telephone | 203-789-3131
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Fax | 203-789-3133
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Provider Business Mailing Address
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Address Line | 221 TIMBERHILL PL
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City | CHAPEL HILL
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State | NC
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Zip | 27514-1597
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Country | US
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Telephone | 919-967-6646
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Fax | 919-967-6647
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH G CARDINALE
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Credential | MD
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Telephone | 203-789-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 024313
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License Number State | CT
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